Search

Patients with traumatic intracranial subarachnoid hemorrhage (SAH) rarely develop spinal subarachnoid hemorrhage (SSAH) without direct spinal injury. We present the case of a 76-year-old male patient with traumatic intracranial SAH and subdural hematoma, back pain and weakness in the both lower limbs radiating to the legs three days after the trauma. After worsening of pain and numbness, the patient underwent a lumbar magnetic resonance imaging 7 days after the trauma, in which blood was seen in the spinal canal in the lumbosacral region. The bleeding was considered SSAH because of the liquid level. The patient underwent conservative treatment because the patient was found to be at high cardiac risk and the neurological deficit was mild. In patients with traumatic intracranial hemorrhage and delayed pain or neurological deficits, SSAH should be suspected in the first period of trauma. [ABSTRACT FROM AUTHOR]

Ligamentum flavum cyst, a cystic lesion adjacent to the lumbar spine, is a rare cause of neurological symptoms and signs. It is usually seen in older ages. It is more common in the lower lumbar region than in the cervical region. Here, we aimed to discuss ligamentum flavum cysts in two cases. In a 54-year-old male, a lumbar magnetic resonance imaging showed a ligamentum flavum cyst located at the right posterolateral of the spinal canal at the L3-L4 level, and spinal canal stenosis at this level. After the surgical removal of the cyst, the patient's symptoms entirely resolved. A 43-year-old female patient had a ligamentum flavum cyst on the left posterolateral of the spinal at L4-L5 level with thecal sac compression. Conservative treatment was planned, and the symptoms regressed during follow-up. [ABSTRACT FROM AUTHOR]

Aim: Comparison of the diagnostic value of ultrasonography (US) and magnetic resonance imaging (MRI) in the diagnosis of rotator cuff and biceps tendon pathologies. Material and methods: Shoulder US an MRI were performed in patients suffering from shoulder pain. The results of the two methods were retrospectively evaluated in a total of 105 cases. Magnetic resonance imaging findins were accepted as a reference. Results: In the biceps tendon, ultrasonography served as a method for correct diagnosis in 7 of the 8 cases with dislocation, in 1 of 3 cases with partial rupture, and i all 4 cases with full thickness rupture. In biceps tendon patholo- gies, the sensitivity nad the specifity of US were respectively 80% and 978%. And for supraspinatus tendon pathologies; 24 of 26 full thickness ruptures (92.3% sensitivity, 98.8% specifity), 30 of 37 partial ruptures (81% sensitivity, 95.6% specifity), 30 of 37 tendnosis' (83.3% sensitivity, 95.6% speifity) were diagnosed correctly with US. Conslusion: As a result, US is a reliable and especially reproducible method for evaluation and diagnosing of patients with shoulder pain. Furthermore, its diagnostic value is low in partial rotator cuff ruptures and in the partial ruptures of the intracapsular biceps tendon [ABSTRACT FROM AUTHOR]